Trapezio-metacarpal arthritis is common. In that cases in which has failed to respond to conservativemeasures we need to use surgical procedures. One of them is the trapeziometacarpal arthrodesis. Retrospectivstudy 44 patients (57 arthrodeses), comparing two surgical arthrodesis procedures, K-wires versus plate and screws,to assess the efficacy of these procedures with respect to patient satisfaction, radiological and clinical outcomes. Averageage was 56.5 5.9 years. 33 K-wires, 24 plate and screws. There were an improvement in quetionaires results VAS(4.8 3.4) and DASH (23.2 23.5). The 44.7 % of patients scored a 10 in Kapandji test. We found no statistical differenceesbetween these procedures in non-union rate, functional outcome or complications. For most patients Trapeziometacarpalarthrodesis reduces pain, improves function and results in excellent patient satisfaction. We have foundno differences between these procedures in our study.

Trapezio-metacarpal arthritis is common. In that cases in which has failed to respond to conservativemeasures we need to use surgical procedures. One of them is the trapeziometacarpal arthrodesis. Retrospectivstudy 44 patients (57 arthrodeses), comparing two surgical arthrodesis procedures, K-wires versus plate and screws,to assess the efficacy of these procedures with respect to patient satisfaction, radiological and clinical outcomes. Averageage was 56.5 5.9 years. 33 K-wires, 24 plate and screws. There were an improvement in quetionaires results VAS(4.8 3.4) and DASH (23.2 23.5). The 44.7 % of patients scored a 10 in Kapandji test. We found no statistical differenceesbetween these procedures in non-union rate, functional outcome or complications. For most patients Trapeziometacarpalarthrodesis reduces pain, improves function and results in excellent patient satisfaction. We have foundno differences between these procedures in our study.